2017 National Standards for Diabetes Self-Management Education and Support
2017 National Standards for Diabetes Self-Management Education and Support
复制标题
DOI：
10.1177/0145721717722968
复制
发表时间：
2017-10-01
影响因子：
3.9
通讯作者：
Wang, Jing
中科院分区：
文献类型：
--
作者：
Beck, Joni;Greenwood, Deborah A.;Wang, Jing
本研究的目的是回顾有关糖尿病自我管理教育和支持的文献，以确保糖尿病自我管理教育和支持的国家标准(标准)与当前循证实践和应用趋势保持一致。成员们搜索了当前关于糖尿病教育和支持、行为健康、临床、医疗保健环境、技术、报销和商业实践的研究，以寻找指导标准修订的最有力的证据。结果糖尿病自我管理教育和支持促进了糖尿病自我护理所需的知识、技能和能力，以及帮助一个人持续实施和维持管理其病情所需行为的活动。证据表明，医疗保健提供者和受糖尿病影响的人正在接受技术，这对医疗保健服务的获取、利用和结果产生了积极影响。结论高质量的医疗保健服务仍然是所有糖尿病患者护理的关键要素。DSMES服务必须个性化，并以糖尿病患者的关切、偏好和需求为指导。即使有大量证据支持医疗保健服务的好处，它仍然没有得到充分利用，但与其他医疗保健服务一样，技术正在改变医疗保健服务的交付和利用方式，并产生积极的结果。
PurposeThe purpose of this study is to review the literature for Diabetes Self-Management Education and Support (DSMES) to ensure the National Standards for DSMES (Standards) align with current evidence-based practices and utilization trends.MethodsThe 10 Standards were divided among 20 interdisciplinary workgroup members. Members searched the current research for diabetes education and support, behavioral health, clinical, health care environment, technical, reimbursement, and business practice for the strongest evidence that guided the Standards revision.ResultsDiabetes Self-Management Education and Support facilitates the knowledge, skills, and ability necessary for diabetes self-care as well as activities that assist a person in implementing and sustaining the behaviors needed to manage their condition on an ongoing basis. The evidence indicates that health care providers and people affected by diabetes are embracing technology, and this is having a positive impact of DSMES access, utilization, and outcomes.ConclusionQuality DSMES continues to be a critical element of care for all people with diabetes. The DSMES services must be individualized and guided by the concerns, preferences, and needs of the person affected by diabetes. Even with the abundance of evidence supporting the benefits of DSMES, it continues to be underutilized, but as with other health care services, technology is changing the way DSMES is delivered and utilized with positive outcomes.